KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGI

UNIVERSITAS JEMBER
RUMAH SAKIT PENDIDIKAN UNIVERSITAS JEMBER
Jl.Kalimantan No. 37 Kampus Tegal Boto Telp./Fax (0331) 323450 Jember

Hari/ Tanggal

Pergantian Shif : Pagi/ Sore/ Malam*

No
Bed/
Kamar
1A

Nomor
Registrasi Pasien

Situation

Background

Assessment

Recommendations

2A

2B

Ka Tim

Perawat Jaga Malam

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Karu

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